Systemic Mediations and Restorative Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1368 Issued in NC

Legal business name

SYSTEMIC MEDIATIONS AND RESTORATIVE THERAPY

Doing business as

SMART

Practice address

916 Arsenal Ave
Fayetteville, NC 28305-5328

Phone

(910) 960-7796

NPI assigned

Jul 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Candice Brenneman

Title

LMFT, Certified Family Mediator

Phone

(910) 960-7796

Specialties & licenses 1

Addresses

Other names 1

• SMART Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1295188175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 ARSENAL AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 ARSENAL AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055328",
            "telephone_number": "910-960-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEMIC MEDIATIONS AND RESTORATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "BRENNEMAN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "LMFT, CERTIFIED FAMILY MEDIATOR",
        "authorized_official_telephone_number": "910-960-7796",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zullemah Swinton
• Angelito Cabacab Sy, MD
• Jenna Sydnor
• Mary Frances Syfan, SLP
• Scott Syndergaard, DO
• Eugenia Sytnyk
• Lindsey Nicole Szakasits, MD
• Laurie Szoka
• Paul Eric Szwejbka, M.D., M.P.H.
• T & C & Associates Community Services Inc

• Marriage & Family Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.